Healthcare Provider Details

I. General information

NPI: 1871700864
Provider Name (Legal Business Name): ALICIA D H KERLINSKY DOM DOCTOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7007 WYOMING BLVD NE SUITE E-3
ALBUQUERQUE NM
87109
US

IV. Provider business mailing address

7007 WYOMING BLVD NE SUITE E-3
ALBUQUERQUE NM
87109
US

V. Phone/Fax

Practice location:
  • Phone: 505-884-0112
  • Fax: 505-828-1385
Mailing address:
  • Phone: 505-884-0112
  • Fax: 505-828-1385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberNM605
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: